tag:blogger.com,1999:blog-26666124.post6341680970940035958..comments2015-03-31T16:03:35.488-04:00Comments on Shrink Rap: How Often Do You See Your Psychiatrist?Dinahnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-26666124.post-27088961229947628112010-05-12T13:10:36.342-04:002010-05-12T13:10:36.342-04:00Paperdoll and anyone else who is uncomfortable wit...Paperdoll and anyone else who is uncomfortable with the polls, <br />please answer only if you want to.<br />It&#39;s completely anonymous (just tallies the number, doesn&#39;t say who clicked what, at least not in a way that my techno-idiocy would register).<br /><br />I don&#39;t mind that Dr. Carlat wants to say there are problems and look for other solutions. That is wonderful and we need more of that.<br />What I don&#39;t like is<br />1) the dramatic language. Fine to point out that we often don&#39;t know what we&#39;re doing or have precise answers (that&#39;s kind of obvious in a field where many people don&#39;t get well), but the publisher&#39;s &quot;shocking truths&quot; and this isn&#39;t it unbelievable tone don&#39;t help anyone.<br />Dr. Carlat is actually much tamer than the book cover and only does this a few times. That stuff is about selling books, not helping the field.<br />2) I don&#39;t agree with a lot of what he says, particularly that psychiatrists shouldn&#39;t go to med school (why should pathologists? or radiologists? or dermatologists?). Maybe medical education should be rethought and more focused---I think we&#39;d all say there were parts of it we didn&#39;t need. Or that turning psychologists in to prescribers would be a great fix. <br />3) He seems to have the answers---CBT and psychologist prescribing, for starters-- and I&#39;m skeptical that here lies the answer for psychiatry. I learned about CBT in college (I was a psych major at Penn, there was no escaping the teachings of Aaron Beck) and while it&#39;s a very useful treatment, I don&#39;t think the answer to most people&#39;s psychiatric condition is to say ah, we&#39;ve had this 12-session treatment that fixes psychiatric problems, it&#39;s been around for at least 25 years, and we&#39;ve just overlooked the obvious cure. Mostly, I can&#39;t get my patients to really throw themselves in to and they won&#39;t do the homework. I think those who specifically seek CBT may be more motivated. <br />Maybe I&#39;ll make this a post later.Dinahhttp://www.blogger.com/profile/09227988351623862689noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-56915531302698944892010-05-12T09:14:23.384-04:002010-05-12T09:14:23.384-04:00Blogger boundaries.... interesting concept. They a...Blogger boundaries.... interesting concept. They are my limits in here, so yeah I get to say what is OK and what isn&#39;t, what I will answer and what I won&#39;t. <br /><br />If I feel you are prying into info, that I have no idea what you will use it for, a healthy degree of scepticism is prudent, if you are a blogger of bigly brain. Being of merely medium sized brain and aware that nothing is just between &#39;you and me&#39;, are you surprised that more than one of us is uncomfortable with these polls. If you were more upfront with what the info was for, I might have been more forthcoming.<br /><br />My therapist (god I hate that word.... he is Pete to me....(he isn&#39;t fixated on the 50 min deal, but at that time I am kind of winding things up, without intervention because I have to be elsewhere and so does he). Is it strictly medically necessary that I see him weekly... well no probably not.....but I feel looked after.... and I think, but I don&#39;t know, that he is glad of a regular full fee paying customer / client / patient. As I am prepared to pay and he is happy to see me, it is a business deal as far as I am concerned. I achieve more in my life with his regular care than without it.<br /><br />I do sense some &quot;sour grapes&quot; with Dr Carlat&#39;s philosophies and unfortunately you show it. There is room for more for one view, and the discerning amongst us aren&#39;t voting for one camp over another, but give us some credit for seeing the real deal ( I am with you)<br /><br />No-one nows for sure what causes cancer, sure there are risk factors and predisposing conditions, but that doesn&#39;t prevent therapy that beats the natural history hands-down. Psych is not alone in that manner.<br /><br />Bring on robust debate.<br /><br />Paperdoll :)<br /><br />(in a much more conciliatory mood now I now what you wanted the info for)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-26666124.post-77792294954157983712010-05-09T07:25:38.528-04:002010-05-09T07:25:38.528-04:00I think that the blog polling is fun and interesti...I think that the blog polling is fun and interesting. It is completely anonymous, so how can it violate anyone&#39;s privacy?<br /><br />I used to see my psychiatrist twice a week and now it is weekly and I am considering every other week or termination because I feel well and reasonably &quot;together&quot;. I worry about not feeling together as sooon as I leave, though.<br /><br />I actually liked twice weekly best, but it is SO expensive and I feel pretty darned good now. I really used to have trouble making it a half week until the next session for a long time. My life was marked by psychiatrist visits. Only two more days. Only one more day. Only twelve more hours. I really felt like I was barely hanging on between sessions. Now the week rolls around and I am busy and it seems like a lot of trouble to drive there and walk a block and wait to see him (I am early; he is on time).Sunny CAhttp://www.blogger.com/profile/11451116932556227816noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-54071886175694667532010-05-08T11:15:10.466-04:002010-05-08T11:15:10.466-04:00i think it&#39;s really interesting. Read: i lik...i think it&#39;s really interesting. Read: i like to &quot;talk&quot; about myself...ha!<br /><br /> And i am one of the extremely fortunate ones who actually has a Psychiatrist who does therapy.tracyhttp://www.blogger.com/profile/03264215182043791934noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-51183144957787086252010-05-07T09:44:30.551-04:002010-05-07T09:44:30.551-04:00Demeaning? Too far? Boundary violation? Are th...Demeaning? Too far? Boundary violation? Are there blogger boundaries?<br />I&#39;ll have to post about why I am asking.Dinahhttp://www.blogger.com/profile/09227988351623862689noreply@blogger.comtag:blogger.com,1999:blog-26666124.post-47528762926722353682010-05-07T07:52:44.430-04:002010-05-07T07:52:44.430-04:00Yes Peter did mention it was SF birthday. Not a bi...Yes Peter did mention it was SF birthday. Not a big day in my life, but maybe for you, so will go along with the spirit of the day, because I am a good patient (a pt with PTSD ultra-reliable, not one not with a PD. I only was told I was a good sort of patient here). Your tick a box questionaire is kind of demeaning. Too far this time. Gather your own stats, from your own patients.<br /><br />Boundary violation. Back in your e-box.<br /><br />A supporter on most issues. Not this one<br /><br />PaperdollAnonymousnoreply@blogger.com